
Venereal Syphilis is an infectious disease that is a member
of a group of disorders called Treponemetoses, caused by the bacterium, Treponema pallidum subspecies pallidum. The infection occurs in three
stages: the primary stage where a painless lesion occurs at the entry site of
infection, the secondary stage as a skin rash develops (along with mucous
membrane lesions) and finally the tertiary stage, marked by the infection spreading
to the organs in the Central Nervous System, as well as the heart and skeleton.
In 20-30% of cases tertiary symptoms can manifest 5-20 years after the original
infection. Without our good friend the humble antibiotic, the numbers of cases reaching
this stage in history were immense. Luckily for Palaeopathologists, the fact
that symptoms can be found on the skeleton allows for the analysis of historical
diseases including disease history, geographical spread and the ability to
predict similar infection courses in the future.
The most frequent symptoms of Venereal Syphilis found on the
skeleton are bi-lateral lesions most commonly occurring on the tibia and skull (frontal,
parietal and nasal-palatial regions). If the infection advances to the Central
Nervous System then Neurosyphilis can occur. This infection of the brain and
spinal cord can cause many debilitating effects when living, such as headaches,
numbness in the extremities and seizures. In historical cases, indirect
evidence of this type of disorder can be found as a Charcot’s joint, which is
caused by repeated trauma occurring at the joints, due to a lack of pain
perception.

Recently, the Columbian hypothesis has been refined with the
belief that the Columbus voyage transported a Treponemal bacterium that was
nonvenereal, and which later adapted under new selective pressures in the Old
World to become Venereal Syphilis. While this theory is intriguing, a problem
arises due to the short time in which the bacterium would have had to adapt and
become sexually transmitted in this new environment (especially if the first
known case was in Naples, 1495). Phylogenetic studies on treponemal disease may
be the next step in illuminating the history of this interesting disease, going
beyond the limitation of osteological observation.
This is just a brief overview of a few of the skeletal
symptoms and the controversial emergence of one of the most virulent diseases
in history. I encourage you to research further and increase your disgust, but
be warned- what has been seen on google images can never be unseen!
Further Reading:
Armelagos, G.J., Zuckerman, M.H. and Harper, K.N. (2012) The
science behind pre-Columbian evidence of syphilis in Europe: research by
documentary. Evolutionary Anthropology, 21(2),
pp.50-57.
Salazar, J.C., Hazlett, K.R. and Radolf, J.D. (2002) The
immune response to infection with Treponema
pallidum, the stealth pathogen. Microbes
and Infection, 4(11), pp. 1133-1140.
Sequeira, W. (1994) The neuropathic joint. Clinical and Experimental Rheumatology, 12(3),
pp. 325-337.
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